Clin Nutr Res.  2017 Apr;6(2):81-88. 10.7762/cnr.2017.6.2.81.

Antioxidant Status and Risk of Gestational Diabetes Mellitus: a Case-Control Study

Affiliations
  • 1Department of Clinical Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan 81746-73461, Iran. paknahad@hlth.mui.ac.ir

Abstract

Gestational diabetes mellitus (GDM) is described as glucose intolerance diagnosed during pregnancy. Increased oxidative stress has implicated in diabetic problems. The aim of the current study was to compare antioxidant capacity and antioxidant nutrient intake between women with GDM (n = 40) and healthy pregnant women (n = 40). Demographic and obstetrics data were completed using interview technique and dietary intakes by using a semi-quantitative food frequency questionnaire (FFQ) with 168 items. The total antioxidant capacity (TAC) of serum was assessed by double-antibody sandwich enzyme-linked immune-sorbent assay (ELISA) method. Multivariate logistic regression was performed to compare independent variables and other potential risk factors between 2 groups. The results showed that TAC concentration of serum in women with GDM was significantly lower than in healthy pregnant women (2.3 ± 0.7 vs. 3.7 ± 0.1 µmol/L, p < 0.001). Intakes of vitamin E (11.8 + 3.1 vs. 16.2 + 3.1 mg, p < 0.001), selenium (81 ± 26 vs. 95 ± 36 µg, p < 0.05) and zinc (7.4 ± 1.9 vs. 9.1 ± 1.7 mg, p < 0.001) were significantly lower in women with GDM as compared to healthy pregnant women. In contrast, the groups showed no significant difference in vitamin C, β-carotene, selenium, fruit, and vegetable intake. Our findings showed that antioxidant capacity is lower in women with GDM, possibly related to lower intakes of vitamin E and zinc.

Keyword

Antioxidant status; Antioxidant capacity; Nutrition; Diet; Gestational diabetes

MeSH Terms

Case-Control Studies*
Diabetes, Gestational*
Diet
Female
Fruit
Glucose Intolerance
Humans
Logistic Models
Methods
Obstetrics
Oxidative Stress
Pregnancy
Pregnant Women
Risk Factors
Selenium
Vegetables
Vitamin E
Vitamins
Zinc
Ascorbic Acid
Selenium
Vitamin E
Vitamins
Zinc

Cited by  1 articles

Maternal Dietary Patterns and Their Association with Pregnancy Outcomes
Zamzam Paknahad, Atefeh Fallah, Amir Reza Moravejolahkami
Clin Nutr Res. 2019;8(1):64-73.    doi: 10.7762/cnr.2019.8.1.64.


Reference

1. Hanna FW, Duff CJ, Shelley-Hitchen A, Hodgson E, Fryer AA. Diagnosing gestational diabetes mellitus: implications of recent changes in diagnostic criteria and role of glycated haemoglobin (HbA1c). Clin Med (Lond). 2017; 17:108–113.
Article
2. Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007; 30:Suppl 2. S141–S146.
3. Nilsson C. Gestational diabetes mellitus: future risk for mother and child [doctor's thesis]. Lund: Lund University, Faculty of Medicine;2013.
4. Ricci SS, Kyle T. Maternity and pediatric nursing. Philadelphia (PA): Lippincott Williams & Wilkins;2009.
5. Noctor E, Crowe C, Carmody LA, Kirwan B, O'Dea A, Glynn LG, McGuire BE, O'Shea PM, Dunne FP. ATLANTIC-DIP: prevalence of metabolic syndrome and insulin resistance in women with previous gestational diabetes mellitus by International Association of Diabetes in Pregnancy Study Groups criteria. Acta Diabetol. 2015; 52:153–160.
Article
6. Altan N, Dinçel AS, Koca C. Diabetes mellitus ve oksidatif stres. Turk J Biochem. 2006; 1:51–56.
7. Maritim AC, Sanders RA, Watkins JB 3rd. Diabetes, oxidative stress, and antioxidants: a review. J Biochem Mol Toxicol. 2003; 17:24–38.
Article
8. Paolisso G, D'Amore A, Di Maro G, Galzerano D, Tesauro P, Varricchio M, D'Onofrio F. Evidence for a relationship between free radicals and insulin action in the elderly. Metabolism. 1993; 42:659–663.
Article
9. Llesuy S, Evelson P, Campos AM, Lissi E. Methodologies for evaluation of total antioxidant activities in complex mixtures. A critical review. Biol Res. 2001; 34:51–73.
Article
10. Jang IC, Park JH, Park E, Park HR, Lee SC. Antioxidative and antigenotoxic activity of extracts from cosmos (Cosmos bipinnatus) flowers. Plant Foods Hum Nutr. 2008; 63:205–210.
Article
11. Idogun ES, Odiegwu ME, Momoh SM, Okonofua FE. Effect of pregnancy on total antioxidant capacity in Nigerian women. Pak J Med Sci. 2008; 24:292–295.
12. Suhail M, Patil S, Khan S, Siddiqui S. Antioxidant vitamins and lipoperoxidation in non-pregnant, pregnant, and gestational diabetic women: erythrocytes osmotic fragility profiles. J Clin Med Res. 2010; 2:266–273.
Article
13. Limberaki E, Eleftheriou P, Vagdatli E, Kostoglou V, Petrou C. Serum antioxidant status among young, middle-aged and elderly people before and after antioxidant rich diet. Hippokratia. 2012; 16:118–123.
14. Winklhofer-Roob BM, Rock E, Ribalta J, Shmerling DH, Roob JM. Effects of vitamin E and carotenoid status on oxidative stress in health and disease. Evidence obtained from human intervention studies. Mol Aspects Med. 2003; 24:391–402.
Article
15. Huang HY, Appel LJ. Supplementation of diets with α-tocopherol reduces serum concentrations of γ-and δ-tocopherol in humans. J Nutr. 2003; 133:3137–3140.
Article
16. Bo S, Lezo A, Menato G, Gallo ML, Bardelli C, Signorile A, Berutti C, Massobrio M, Pagano GF. Gestational hyperglycemia, zinc, selenium, and antioxidant vitamins. Nutrition. 2005; 21:186–191.
Article
17. American Diabetes Association. Gestational diabetes mellitus. Diabetes Care. 2004; 27:Suppl 1. S88–S90.
18. Mirmiran P, Azadbakht L, Azizi F. Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr. 2007; 10:897–901.
Article
19. Ceriello A, Giugliano D, Quatraro A, Donzella C, Dipalo G, Lefebvre PJ. Vitamin E reduction of protein glycosylation in diabetes. New prospect for prevention of diabetic complications? Diabetes Care. 1991; 14:68–72.
Article
20. Peuchant E, Brun JL, Rigalleau V, Dubourg L, Thomas MJ, Daniel JY, Leng JJ, Gin H. Oxidative and antioxidative status in pregnant women with either gestational or type 1 diabetes. Clin Biochem. 2004; 37:293–298.
Article
21. Kharb S. Lipid peroxidation in pregnancy with preeclampsia and diabetes. Gynecol Obstet Invest. 2000; 50:113–116.
Article
22. Surapaneni KM, Vishnu PV. Antioxidant enzymes and vitamins in gestational diabetes. J Clin Diagn Res. 2008; 2:1081–1085.
23. Spickett CM, Reglinski J, Smith WE, Wilson R, Walker JJ, McKillop J. Erythrocyte glutathione balance and membrane stability during preeclampsia. Free Radic Biol Med. 1998; 24:1049–1055.
Article
24. Ingold KU. Inhibition of the autoxidation of organic substances in the liquid phase. Chem Rev. 1961; 61:563–589.
Article
25. Mahan LK, Raymond JL, Escott-Stump S. Krause's food and the nutrition care process. 13th ed. St. Louis (MO): Elsevier/Saunders;2012.
26. Bates JH, Young IS, Galway L, Traub AI, Hadden DR. Antioxidant status and lipid peroxidation in diabetic pregnancy. Br J Nutr. 1997; 78:523–532.
Article
27. Molnar J, Garamvolgyi Z, Herold M, Adanyi N, Somogyi A, Rigo J Jr. Serum selenium concentrations correlate significantly with inflammatory biomarker high-sensitive CRP levels in Hungarian gestational diabetic and healthy pregnant women at mid-pregnancy. Biol Trace Elem Res. 2008; 121:16–22.
Article
28. Zhang C, Williams MA, Sorensen TK, King IB, Kestin MM, Thompson ML, Leisenring WM, Dashow EE, Luthy DA. Maternal plasma ascorbic acid (vitamin C) and risk of gestational diabetes mellitus. Epidemiology. 2004; 15:597–604.
Article
29. Grissa O, Atègbo JM, Yessoufou A, Tabka Z, Miled A, Jerbi M, Dramane KL, Moutairou K, Prost J, Hichami A, Khan NA. Antioxidant status and circulating lipids are altered in human gestational diabetes and macrosomia. Transl Res. 2007; 150:164–171.
Article
30. DiSilvestro RA. Zinc in relation to diabetes and oxidative disease. J Nutr. 2000; 130:1509S–1511S.
Article
31. Behboudi-Gandevani S, Safary K, Moghaddam-Banaem L, Lamyian M, Goshtasebi A, Alian-Moghaddam N. The relationship between maternal serum iron and zinc levels and their nutritional intakes in early pregnancy with gestational diabetes. Biol Trace Elem Res. 2013; 154:7–13.
Article
32. Cene CW, Pignone M. The effect of fruit and vegetable intake on the incidence of diabetes. Clin Diabetes. 2011; 29:113–115.
Article
33. Bagheri SM, Akhlaghi F, Rajabi O. A comparative study of investigating the relationship between the nutrition, biochemical parameters and demographic characteristics in women with and without gestational diabetes. Iran J Diabetes Obes. 2013; 5:16–20.
34. Zhang C, Williams MA, Frederick IO, King IB, Sorensen TK, Kestin MM, Dashow EE, Luthy DA. Vitamin C and the risk of gestational diabetes mellitus: a case-control study. J Reprod Med. 2004; 49:257–266.
35. Karacay O, Sepici-Dincel A, Karcaaltincaba D, Sahin D, Yalvaç S, Akyol M, Kandemir O, Altan N. A quantitative evaluation of total antioxidant status and oxidative stress markers in preeclampsia and gestational diabetic patients in 24–36 weeks of gestation. Diabetes Res Clin Pract. 2010; 89:231–238.
Article
36. Gillery P, Monboisse JC, Maquart FX, Borel JP. Does oxygen free radical increased formation explain long term complications of diabetes mellitus? Med Hypotheses. 1989; 29:47–50.
Article
37. Sivan E, Lee YC, Wu YK, Reece EA. Free radical scavenging enzymes in fetal dysmorphogenesis among offspring of diabetic rats. Teratology. 1997; 56:343–349.
Article
38. Martín-Gallán P, Carrascosa A, Gussinyé M, Domínguez C. Biomarkers of diabetes-associated oxidative stress and antioxidant status in young diabetic patients with or without subclinical complications. Free Radic Biol Med. 2003; 34:1563–1574.
Article
39. Chen X, Scholl TO. Oxidative stress: changes in pregnancy and with gestational diabetes mellitus. Curr Diab Rep. 2005; 5:282–288.
Article
Full Text Links
  • CNR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr